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Permit CITY TIGARD PLUMBING PERMIT 1 •1� i DEVELOPMENT SERVICES PERMIT #: PLM2006 -00210 �I DATE ISSUED: 5/15/2006 =--� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2 S 103 DA -01800 SITE ADDRESS: 10815 SW DERRY DELL CT ZONING: R -3.5 SUBDIVISION: DERRY DELL PLAT 2 LOT: 018 JURISDICTION: TIG Project Description: Plumbing fixtures. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: 1 BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 6 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB /SHOWERS: 2 SEWER LINE: ft WATER CLOSETS: 2 WATER LINE: 100 ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES DOUG SAWKINS 10815 SW DERRY DELL CT Description Date Amount TIGARD, OR 97223 [PLUMB] Permit Fee 5/12/2006 $199.20 [TAX] 8% State Surcha 5/12/2006 $15.94 Phone : 503- 620 -5043 Total $215.14 Contractor: MODERN PLUMBING 11120 SW INDUSTRIAL WAY TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Contact # : PRI 503- 691 -6166 FAX 503- 691 -6771 Reg #: LIC 87906 PLM 34 -250PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: � / / Permittee Signature: ern or b . Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • 05/05;12 006 09:25 5037220501 ROYAL DESIGN PAGE 02/02 • Building Fixtures Se 53 . Plumbing PermitAppliestion w S a l �0�6 tier ir'I i . i $ 1 / 4 1:. (r4.1 - • City of Tigard VO Received r / / ,,,,� r �,/� °' 13125 SW Hall Hlvd, Tig3M 4R 97223 A�° ABBY) / n © i5 x . 1 % 9 4 1 Pamli tle' ` - r Phone: 503.639.4171 Fax: 303.598.19600 \G ' \ S \0 � �, Plan y "" tJt41erPeirltNo,: r : ,i t Interne, Inspection Liner 503.639.4175 CAI \NG 0 %, oia x � t y n e Internet ww_tigard- m• L 1 B1 p S Pa 2 for gV` � 33oeSedrMc+t,ott 6m etgrrtallaforr „ r. `I .• �� �4�i'.S �: °� - d %'-L0 ` ' ` � . i : , o x: : � � ' ; ,,�r:• y��? '+. � ° ° � • ,. S��� ���L t $t; t.. ' '- ' G� ... din•:. �- TV • � t y g'� • ` r -,^- ,., - � ^, ; i ❑ New construction ❑ Demolition Far sprdal inJip.r>rta�oi rc crSecXNsz Description l Oty 1 Ea. I Thud ddition /alteration /replacement ❑ Other. New I- 2- family dwelling* (includes 100 ft. for each utility connection) ± `�'; f I, • :•C Eel •J `� /I. C. 6.Hwi Y.� .. - � 'J •i 4`t<r �' f:'l,'',f� � r ',i SFR (l) bath l 249.20 Eg.I- and 2 -family dwelling 0 Commercial /industrial SFR (2)bat . 350.00 • 1:1 Accessary building ❑ Muitrfaraay SFR (3) bath 399.00 ❑ Master builder Each additions( barb/kitchen 45.00 ❑ Other: _, ,,_: ,�� ,$$�`����, _ryyq� L� r���F , { ;; �, 4 Fiream-inkier( en. R.) Paget ; . : :,;•R*W. "- li tit < ti _..'i 4 _,tl `11WP•t "r�,I_ ::I' gib 3:. S. ... -.- _ „ r ,s.. • .� ..,..r . t Site utilities Job site address: /6) S 5(.0 p2f,r ocaI e.4.. Y Catch basin or area drain 16.60 ' c{ty/St�IP• - j 1 c,, Q 2. 47,12 ---, Drywe11, leach Woe, or trench drain 16.60 Sviic bldg./apt no : l Project pure: ^� t7 _ •; an 5 Footing drain (no. linear fi.: _� Page 2 Manufactured home utilities 110.00 • Cress street /directions to job site: Manholes 16.60 - Rain drain connector 16.60 Sanitary sews (no. in ft.: ) Fage,. Storm sewer (no. linear ft: _,) Page 2 Subdivision: 1 Lot no : Warm service (no. linear 0.: Page 2 Tax map /parcel no.: <�. O Fixture re rt eta - - • f e. Y .. . ..re .iVr.t.IVI.'+',2, i Fµr` `I��'FF: .t; ,s � 4i. Y -,,,. . � ...r &ter l ow pre m 1 Page 2 , :,• .�iy�r';�.e R;i .. Ft "+..c. v-^ �' { y :r w�:r :•;:,'�` d': % :• ',:••'' ..� a " ��C `r'.t•• a ^: • 8ackflowpcevaotar Paget ( :f) le: +c./e'► - f ra_ainodea/ 5 Backwater valve 16.60 z r e p p Clothes washer l 16.60 l ( (o0 1 1 Dubwasber 16.60 ,? ?.. oyi : r',� •x x, u w Drinking fountain • 16.60 ,. -' =:'' - a'.i►W ;� ~ ,c�. - u: x i'i�rr n. `� �� e?'SI� �,j�, r ..• w�+rr' ^ -' - ��'•`� '�a . S -.�: �•. .r _ - { "Y • ` kjectors/somp 1 Name: Ifs a 4..t. 4- 0.4 ro( r .Se. ( e7 ' e� *NS. Expansion tank 16.60 Address: /O ei .S . SW (Len D44f C Fixhxrclsewercap 16.60 • Cizy/State/Z1p' n- , , Q A- q-)-5-3 Floor drain /floor aruk/hub 16.60 Rhode: (S'`03) (ate - So ‘1.2.. Fax: ( ) Garbage disposal 1 6.60 • ,: k x �_ - . b Rose bib 16.60 ?�3 - -,.- .�`�..... :Y YlC:Jx 3��+..;c:•: :2,. ",,'..- : .•.•e- °3'"'^''. 2u.�1'f (iii: -,` r ric e maker 16.60 Business Interceptor /grease trap 1 16.60 - Contact name: Medical gas (vaTUe:S ) page). Address: Prima 16.60 City/State/ZIP' - Roof drain (commercial) 16.60 . Phone ( ) Fax: : ( ) Sink/bastnllavatory G. 16.60 /f/,O Tub/shower/shower pan ,• 16 33 2.0 i : R tr`iT:' 7 l�r� w u '+..: : ,.,� _.i , .,• Urinal 16.60 = „ -f.: • ^'•. i- .41 -e'# Y h _mil . is V-4:- '.ittl.�:si:::' ^S.. 3 . ,.'. . A.. -.:... -- r: , J'a'r: -' .•, -- ,. I Water closet 16.60 33 2_0 113t>sirtess name: l--) r Y1 ?WW1 IJU(1(� �� Cln • Water heater I 16.60 I co (. O Address: 11 , Z0 %1,0 lV1f�11 .\-rt j ,..Water cit P: l (fir ce 63\2_ g10t02_ Minimum permit fie $72.59 f l , 2.0 Phone' ( ili J)10C1 I -, j `l ( 0 Fax: (Th3) iffq `_ ( I Residential baektlow minimum permit fee: $36.25 CC)31 in: ' �D � ^ Plumbing Lie. t►o.: 2,S .lb 1715 Plan review (25% 0l permit fee) Stater surcharge (8% of permit fen) 1 t,ctii Authorized signature: �`� '" ( / � , " De VG�. TOT,AI FERMIT FEE z_ t 5 r I q I Print name. k)+3 •f 0,1,1 k _ C e ,e__.. I Date: 5_9 .D 't(his permit appllcarloa expires If a permit la not Obtained within 180 days after it ha* been accepted as complete. *Fee methodology set by Tr i -County Building Industry Service Board. • t:180cliw g\Por .isiPLMG.Rna itApp_doc OMwo6 440.463 aT(1 O AOM 0) Z•d I.LL9 1.69 C09 DN18W(lld N2:1dOOIN ei7€' 1.6 90 60 421A1 • CITY ������N�������� ��u w n OF m m����nn�� ` • BUILDING DIVISION � ' PERMIT #: [LJV■2OO�OOJ1Q 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/15/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 J„, INSPECTION WORKSHEET FOR DATE: 5/24/2006 TIME: 7:12A1v1 PAGE: 53 SITE ADDRESS: 10815 SW DERRY DELL CT CLASS OF WORK: SUBDIVISION: DERRY DELL PLAT 2 LOT #: 018 TYPE OF USE: PROJECT NAME: SAWK|NS DESCRIPTION: Plumbing fixtures. OWNER: SAWKINS, DOUG PHONE #: 503-620'5043 CONTRACTOR: MODERN PLUMBING PHONE #: 503 Inspection Request Scheduled For: Date: 6/24/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 030490-01 503'691-6166 Y Cornecdona/ComnnnentS/|natructiona: N ■ PASS PARTIAL APPROVAL CANCEL [1] NO ACCESS I I FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED V ��/��y Inspector: / / V°�� Oate�_� w� � ~ Phone#' /GO3> 718- ^~ ^ �� ~ #: `' ' '' � r ...7 -. - • ■. ■ - . • CITY OF TIGARD BUILDING DIVISION .,..-- _ PERMIT #: PUVI2006-00210 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/15 Phone: (503) 639-4171 44 * ff ilivgiti# Inspection Requests (24 Hrs.): (503) 639-4175 ,--dil IL INSPECTION WORKSHEET FOR DATE: 6,7/2006 TIME: 7:06AM PAGE: 40 SITE ADDRESS: 10815 SW DERRY DELL Cr CLASS OF WORK: SUBDIVISION: DERRY DELL PLAT 2 LOT #: 018 TYPE OF USE: PROJECT NAME: SAWKINS DESCRIPTION: Plumbing fixtures. 616106: Added 100 ft of water service. OWNER: SAWKINS, DOUG PHONE #: 503 CONTRACTOR: MODERN PLUMBING PHONE #: 503-691-6166 • Inspection Request Scheduled For: Date: 617/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 031269-01 503•691-6166 N Corrections/Comments/Instructions: , "MGM 1 1 I I 1 liMp ..,W ' - - Alleig ..--- 111 4 .- /' ge r ------ 1 AD. .4. - i NIP Ad e ASCIII . ' -tis • v e . 1%)--2-7Z e■ il■ I I PASS 0 PARTIAL APPROVAL fl CANCEL 7 NO ACCESS 7 pALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: )(KCI Date: , ? Phone #: (503) 718- ' — • CITY OF .. ��o x m ��w TIGARD ' BUILDING DIVISION PERMIT #: PL&A2006-00210 I 13125SVV Hall 8lvd.. Tigard, ORA7223 a iiilil DATEISSUED: 51 Phono:(503)039'4171 Inspection Requests (24 Hrs.): (503) 630`4175 *°8N~ "��� INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7:02&M PAGE: 29 SITE ADDRESS: 10815 SW DERRY DELL CT CLASS OF WORK: SUBDIVISION: DERRY DELL PLAT 2 LOT #: 018 TYPE OF USE: PROJECT NAME: GAMINS DESCRIPTION: Plumbing fixtures. 6K6/06: Added 100 ft of water service. OWNER: SAwVKiM3. PHONE #: 503 CONTRACTOR: MODERN PLUMBING PHONE #: 503-691'6166 Inspection Request Scheduled For: Date: 6■912000 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 031476-01 50380c0165 N Corrections/Comments/Instructions: . / -..p. - .;......_ v' �. .460 MEW ,,f7r-7/7-$'. allr /11P' 1 < / t'(/°: - .. / 2 7 . 2" .'L---'-' . � ~- /- . ^�� '~'. ~�~~~__~- '~ , 0 ' elZ , | � �J�S [ I PARTIAL APPROVAL �� CANCEL �� N(] ACCESS .� � / �� / . pi FAIL I I CALL FOR INSPECTION I] ADDITIONAL FEES ASSESSED ` /^ ) / /) � |nepeutor: 1 IZ-% t�.� Oate� ' i/'^ Phone #: (503) 718- '